Remote RN Prior Authorization Clinician - Utilization Review
WellSense Health Plan
New York, NY
- Remote job
WellSense Health Plan is seeking a Prior Authorization Clinician for a fully remote role in the United States. You will review inpatient and outpatient requests for medical necessity using InterQual criteria and relevant policies to ensure timely, appropriate care for members. The position requires an active RN license (NH or compact with NH) and prior authorization experience. Strong communication and decision-making skills are essential, with some travel to the Boston area possible for #J-18808-Ljbffr WellSense Health Plan
Vacancy posted 4 days ago
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